person
Brian Pak Ho Chan, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1194205237

Brian Pak Ho Chan is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Brian Pak Ho Chan practices in Boston, MA and has the professional credentials of MD. The NPI Number for Brian Pak Ho Chan is 1194205237 and holds a License No. 277470 (Massachusetts).

The current practice location address for Brian Pak Ho Chan is 330 Brookline Avenue, Boston, MA and can be reached out via phone at 617-667-2136 and via fax at 617-667-1728.

Location: 330 Brookline Avenue, Boston, MA, 02215
person
Provider Profile Details
NPI Number
1194205237
Provider Name
Brian Pak Ho Chan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
330 Brookline Avenue, Boston, MA, 02215
Phone Number
617-667-2136
Fax Number
617-667-1728
Provider Enumeration Date
08/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100258 01 CPSO
institution
Provider Business Practice Location Address Details
Address
330 Brookline Avenue
City
State
Zip
02215
Phone Number
617-667-2136
Fax Number
617-667-1728
person
Provider Business Mailing Address Details
Address
330 Brookline Avenue
City
State
Zip
02215
Phone Number
617-667-2136
Fax Number
617-667-1728
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
277470 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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